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Q&A: Fertility problems after abortion?

If I've had an abortion, will I have a hard time getting pregnant in the future?

Re: If I've had an abortion, will I have a hard time getting pregnant in the future?

The Bump Expert

Uncomplicated abortions usually pose no threat to a woman’s fertility. Those complicated by infection or hemorrhage may cause scar tissue to form in the uterus and this could impede your ability to establish pregnancy. If you have been unsuccessfully trying to conceive, your doctor will order a hysterosalpingogram (HSG) as part of your evaluation. This is an “X-ray” test of the uterus and fallopian tubes, and will check for things like tubal blockage and uterine scarring. S/he may also order a sonohysterogram which is a directed ultrasound of the uterus. In most cases, this scar tissue can be removed by a simple outpatient procedure known as hysteroscopy. It is always best to speak to your doctor if you have any concerns.

Dr. Debbra Keegan

Q&A: Fertility problems after abortion?

If you have had a an uncomplicated abortion, it should post no threat, like Dr. Keegan stated. However, depending on the surgeon that performed the procedure, one of the complications from an abortion is the risk of asherman's syndrome. This can be diagnosed with an HSG, however, if this is present, the prognosis is poor. If the adhesions are removed, they come back..if this happens during pregnancy, it can lead to a miscarriage or preterm delivery. Asherman's syndrome is RARE, but if you have had an abortion in the past, it needs to be ruled out if you are having issues. Statistics are on your side.

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Q&A: Fertility problems after abortion?

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Q&A: Fertility problems after abortion?

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